Healthcare Revenue Cycle Management, ICD-10, Claims Reimbursement, Medicare, Medicaid

Healthcare Spending

Why Concierge Medicine Programs Boost Patient Satisfaction

by Vera Gruessner

Due to the many complications of healthcare reform and the many quality care initiatives being established by federal agencies and payers, both new and well-established alternative healthcare delivery models are cropping up. Concierge medicine...

CMS Awards Equipment Contracts to Reduce Medicare Spending

by Jacqueline Belliveau

CMS continues to reduce Medicare spending by awarding contracts to successful bidders for Medicare’s Round 2 and national mail-order recompetes and releasing new single payment amounts for the Durable Medical Equipment, Prosthetics, Orthotics,...

Direct Physical Therapy Access Could Reduce Healthcare Costs

by Vera Gruessner

When it comes to healthcare costs, the federal government, medical providers, and payers are attempting to reduce rising spending and adopt value-based care reimbursement.  A number of different strategies have been implemented including...

9.4 Million Fewer Americans Struggle to Pay Medical Bills

by Vera Gruessner

Several years after the implementation of the Patient Protection and Affordable Care Act, the results seem to be showing that fewer Americans are struggling with paying medical bills and more than ever before have gained health insurance coverage....

Accountable Care Organizations Responsible for Drug Spending

by Vera Gruessner

Accountable care organizations consist of a network in which payers, primary care physicians, and specialists work together to improve the health of a population. To dive deeper into one of the type of specialists seeking to enhance care within...

How Do High-Deductible Plans Affect Value-Based Care Goals?

by Jacqueline DiChiara

Value-based care outcomes are shaped by a variety of factors – but especially the ever influential high-deductible health plan (HDHP). The recent significant increase of HDHPs across the healthcare industry is apparently tied to their...

How to Slash Common Healthcare Supply Chain Management Costs

by Jacqueline DiChiara

Healthcare supply chain management strategies are generally tied to keeping costs low. But with an apparently broken system still in place, this is not a simple task. Whereas other industries seem to have made supply chain progress, the...

How Provider Interaction Reduces Claims Reimbursement Waste

by Jacqueline DiChiara

Reducing claims reimbursement waste demands a closer look at the inner workings of the medical billing environment and how to improve provider interactions. A lack of communication may be a leading cause of claims reimbursement waste and many...

Medical Billing Needs Revenue Cycle Management Transparency

by Jacqueline DiChiara

Medical billing problems, such as unpaid medical bills, the acquisition of medical debt, and a detrimental impact on care access, are negatively affecting the healthcare industry. Twenty percent of over 1,200 surveyed adults had trouble...

Affordable Care Act Creates Tax-Funded Expenditure Majority

by Jacqueline DiChiara

Over 64 percent of healthcare spending is tied to tax-funded expenditures, according to new data from the American Journal of Public Health. This reported number apparently contradicts commonplace perceptions about the cost of healthcare. Researchers...

Medicare Spending Up, Medicare Shared Savings Requires Risk

by Jacqueline DiChiara

Medicare spending is on the rise as the sizable impact of high-priced drugs on healthcare spending evolves. Accountable Care Organizations (ACOs) appear to be either in, out, or somewhere in between on the financial risk spectrum. Will ACOs take...

CMS’s Medicare Drug Spending Dashboard Notes Spending Spike

by Jacqueline DiChiara

The Centers for Medicare & Medicaid Services (CMS) has released a Medicare Drug Spending dashboard to address prescription drugs’ affordability. CMS aims to make drug spending trends more transparent for healthcare providers. CMS...

Can Automation Investment Keep Insurance Claim Costs Down?

by Jacqueline DiChiara

Hospitals are focusing on various outsourcing endeavors or different manual approaches to maintain a healthy revenue cycle. But is it working as planned? Perhaps only at a steep price. Expenditures for late payment follow-up...

How to Bend Healthcare’s Cost Curve Over the Next Decade

by Jacqueline DiChiara

Healthcare costs are growing but not as quickly as they once were. The big question is why? It’s a tough one to answer. To put it lightly, the delicate art of pinpointing specific or collective revenue cycle management causes poses...

CMS, HHS Get Social with $157M in Medicare, Medicaid Funding

by Jacqueline DiChiara

The Department of Health and Human Services (HHS) has revealed a new 5-year $157 million funding opportunity this week to help advance the overall quality and affordability of Medicare and Medicaid. The health-related social needs of Medicare...

5 Supply Chain Management Questions and Answers

by Jacqueline DiChiara

A chain is no stronger than its weakest link. But strengthening the most fragile links when many moving parts collectively bump into each other along the way is no easy task when it comes to supply chain management. Here are 5 supply chain management...

Congress Passes 2-Year Cadillac Tax Delay, Repeal Possible

by Jacqueline DiChiara

Congress has passed a two-year delay of the Cadillac Tax – a 40% non-deductible tax on the cost of employer-sponsored health coverage that surpasses specific benefit thresholds, part of the Omnibus spending package. Congress passed the...

Why HOPD Medicare Expenditures Need Equalized Payment Rates

by Jacqueline DiChiara

Medicare expenditures for hospital outpatient departments (HOPD) services are apparently on the rise, especially in recent years. A new report to Congressional requesters from the United States Government Accountability Office (GAO) examines...

Is Increased Medicaid Coverage the Chronic Disease Solution?

by Jacqueline DiChiara

What do Manhattan rents, Ferraris, college tuition, and chronic disease all have in common? They are all really expensive. What is especially problematic is that chronic diseases are not only very costly, but also very common within the healthcare...

Public Health Funding for Disease Prevention Drops by $40B

by Jacqueline DiChiara

Per capita health spending has dropped by over $40 billion from 2009 to 2014, confirm researchers David U. Himmelstein, MD, Lecturer at Harvard Medical School and Professor at the City University of New York (CUNY), and Steffie Woolhandler, MD,...

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